Relationship management by means of solution-oriented questions in German psychodiagnostic interviews
The article addresses Solution-Oriented Questions (SOQs) as an interactional practice
for relationship management in psychodiagnostic interviews. Therapeutic alliance results from the concordance of alignment, as
willingness to cooperate regarding common goals, and of affiliation, as relationship based upon trust. SOQs particularly allow
for both: They are situated at the end of a troublesome topic area, which is linked to low agency on the patient’s side, and
they reveal understanding of and interest in the patient. Following the paradigm of Conversation Analysis and German Gesprächsanalyse this paper analyzes the design and functions of SOQs as a means for securing and
enhancing the relationship in the process of therapy. Our data comprise 15 videotaped first interviews following the manual of
the Operationalized Psychodynamic Diagnostics. The analyses refer to all SOQs found but will be illustrated by means of a
single conversation.
Article outline
- 1.Introduction
- 2.Data and method
- 3.Analyses
- Design
- Positioning and context
- Sequential organization and global development of relationship
- Positions 0–2
- Positions 3 and 4
- 4.Discussion
-
Acknowledgements
-
Notes
-
References
References (56)
References
Ardito, Rita, and Daniela Rabellino. 2011. “Therapeutic alliance and outcome of psychotherapy: historical excursus, measurements, and prospects for
research.” Frontiers in Psychology 270: 1–11. .
Arundale, Robert B. 2010. “Constituting
face in conversation: Face, facework, and interactional achievement.” Journal of
Pragmatics 42(8): 2078–2105.
Bröcher, Leonie. 2017. Lösungsorientierte Fragen in psychodiagnostischen Gesprächen: Die Funktionen der Testung, impliziter Kritik und
Ermittlung tatsächlicher Lösungsmöglichkeiten. Universität Mannheim: Master Thesis.
Brown, Penelope, and Stephen Levinson. 1987. Politeness: Some universals in language use. Cambridge: University Press.
Bühler, Karl. 1934. Sprachtheorie: Die Darstellungsfunktion der Sprache. Jena: Gustav Fischer.
Bucholtz, Mary, and Kira Hall. 2005. “Identity
and interaction: A sociocultural linguistic approach.” Discourse
studies 7(4–5): 585–614.
Clark, Herbert. 1992. Arenas of Language Use. Chicago: University of Chicago Press.
Davies, Bronwyn, and Rom Harré. 1990. “Positioning:
The discursive production of selves.” Journal for the Theory of Social
Behaviour 20(1): 43–63.
Deppermann, Arnulf. 2008. Gespräche analysieren: Eine Einführung. Wiesbaden: Verlag für Sozialwissenschaften.
Deppermann, Arnulf. 2015. “Agency in Erzählungen über Gewalterfahrungen in Kindheit und Jugend.“ In Narrative Bewältigung von Trauma und Verlust, ed. by Carl Eduard Scheidt, Gabriele Lucius-Hoene, Anja Stukenbrock, and Elisabeth Waller, 64–75. Heidelberg: Schattauer.
Ehrenthal, Johannes C., and Cord Benecke. 2019. “Tailored
treatment planning for individuals with personality disorders: The OPD
approach.” In Case
Formulation for Personality Disorders: Tailoring Psychotherapy to the Individual Client, ed.
by Ueli Kramer, 291–314. Cambridge, MA: Elsevier.
Flückiger, Christoph, Aaron C. Del Re, Bruce E. Wampold, Dianne Symonds, and Adam Horvath. 2012. “How central is the alliance in psychotherapy? A multilevel longitudinal meta-analysis.” Journal of Counseling Psychology 59(1): 10–17.
Goffman, Erving. 1977. “The arrangement between the sexes.” Theory and Society 4: 301–331.
Holly, Werner. 2001. “Beziehungsmanagement und Imagearbeit.“ In Text- und Gesprächslinguistik. Handbücher zur Sprach- und Kommunikationswissenschaft, ed. by Klaus Brinker, Gerd Antos, Wolfgang Heinemann, and Sven Sager, 1382–1393. Berlin/New York: de Gruyter.
Horvath, Adam. 2006. “The alliance in context: Accomplishments, challenges, and future directions.” Psychotherapy 43(3): 258–263.
Horvath, Adam, and Leslie Greenberg (eds.). 1994. The working alliance: Theory, research, and practice. Oxford: Wiley.
Jakobson, Roman. 1960: “Linguistics
and poetics.” In: Style in
language, ed. by Thomas A. Sebeok A., 350-377, Cambridge, Mass.: Institute of Technology Press.
Kabatnik, Susanne, Thomas Spranz-Fogasy, Christoph Nikendei, and Johannes C. Ehrenthal. 2019. “Lösungsorientierte Fragen im psychotherapeutischen Gespräch.” In Pragmatik der Veränderung, ed. by Eva-Maria Graf, Claudio Scarvaglieri, and Thomas Spranz-Fogasy, 147–175. Tübingen: Narr.
Konerding, Klaus-Peter. 2015. “Heilung durch Sprache und Sprechen: Linguistik und Psychotherapie.“ In Handbuch Sprache in der Medizin, ed. by Albert Busch and Thomas Spranz-Fogasy, 225–242. Berlin: De Gruyter.
Kook, Jiyeon. 2015. Agency in Arzt-Patient-Gesprächen. Bern: Peter Lang.
Lambert, Michael J. (ed.). 2013. Bergin and Garfield’s handbook of psychotherapy and behavior change. 6th ed. New York: Wiley.
Läpple, Sina, Christoph Nikendei, Johannes C. Ehrenthal, and Thomas Spranz-Fogasy. 2021. Therapeutische Reaktionen auf Patientenwiderstand in psychodiagnostischen Gesprächen – am Beispiel
Lösungsorientierter Fragen. Göttingen: Verlag für Gesprächsforschung.
Lindström, Anna, and Marja-Leena Sorjonen. 2013. “Affiliation in conversation.” In Handbook on Conversation Analysis, ed. by Jack Sidnell, and Tanya Stivers, 350–369. Chichester: Blackwell.
Linke, Angelika, and Juliane Schröter. 2017. “Sprache in Beziehungen – Beziehungen in Sprache. Überlegungen zur Konstitution eines linguistischen
Forschungsfeldes.” In Sprache und Beziehung, ed. by Angelika Linke, and Juliane Schröter, 1–32. Berlin: de Gruyter.
Locher, Miriam A., and Richard J. Watts. 2008. “Chapter 4. Relational work and impoliteness: Negotiating norms of linguistic behaviour”. In Impoliteness in Language: Studies on its Interplay with Power in Theory and Practice, ed. by Derek Bousfield, and Miriam A. Locher, 77–100. Berlin, New York: De Gruyter Mouton.
Mack, Christina, Christoph Nikendei, Johannes C. Ehrenthal, and Thomas Spranz-Fogasy. 2016. “[…] hab ich glaub ich die richtigen Fragen gestellt: Therapeutische Fragehandlungen in psychodiagnostischen
Gesprächen.” Mannheim: IDS.
MacMartin, Clare. 2008. “Resisting optimistic questions in narrative and solution-focused therapies,” In Conversation Analysis and Psychotherapy, ed. by Anssi Peräkylä, Charles Antaki, Sanna Vehviläinen, and Ivan Leudar, 80–99. Cambridge: Cambridge University Press.
Mandelbaum, Jenny. 2003. “Interactive methods for constructing relationships.” In Studies in language and social interaction, ed. by Phillip J. Glenn, Curtis LeBaron, and Jenny Mandelbaum, 207–220. Mahwah, NJ: Lawrence Erlbaum.
Marciniak, Agnieszka. 2017. Agency in lösungsorientierten Fragen im psychodiagnostischen Gespräch. Agency-Implikationen und Reaktionen in
Wunschfrage-Sequenzen. Universität Mannheim: Master Thesis.
Marciniak, Agnieszka, Christoph Nikendei, Johannes C. Ehrenthal, and Thomas Spranz-Fogasy. 2016. “…
Durch Worte heilen. Linguistik und
Psychotherapie.” Sprachreport 32/3: 1–11.
Muntigl, Peter, and Adam Horvath. 2018. “The alliance as a discursive achievement: a conversation analytical perspective.” In Therapy as Discourse: Practice and Research, ed. by Olga Smoliak, and Tom Strong, 71–93. Palgrave Macmillan.
Muntigl, Peter, and Adam Horvath. 2014. “‘I can see some sadness in your eyes’: When experiential therapists notice a client’s affectual
display.” Research on Language and Social Interaction 47(2): 89–108.
Oelschläger, Eileen. 2017. Lösungsorientierte Fragen in psychodiagnostischen Gesprächen: Testen, Übertragen der Verantwortung und implizite
Kritik. Universität Mannheim: Master thesis.
OPD Task Force
(eds.). 2009. Operationalized
Psychodynamic Diagnosis OPD-2. Manual of Diagnosis and Treatment
Planning. Bern: Hogrefe.
Peräkylä, Anssi. 2019. “Conversation Analysis and Psychotherapy: Identifying Transformative Sequences.” Research on Language and Social Interaction, 52(3): 257–280. .
Peräkylä, Anssi, Charles Antaki, Sanna Vehviläinen, and Ivan Leudar (eds.). 2008. Conversation Analysis and Psychotherapy. Cambridge: Cambridge University Press.
Pomerantz, Anita. 1986. “Extreme case formulations: A way of legitimizing claims.” Human Studies 9: 219–30.
Pomerantz, Anita, and John Heritage. 2013. “Preference.” In The Handbook of Conversation Analysis, ed. by Jack Sidnell, and Tanya Stivers, 210–228. Chichester: Wiley Blackwell.
Reinicke, Rebecca. 2018. Emotive und kognitive Verben in lösungsorientierten Fragen in psychodiagnostischen Gesprächen. Universität Mannheim: Master Thesis.
Ribeiro, Eugenia, Antonio P. Ribeiro, Miguel M. Goncalves, Adam Horvath, and William Stiles. 2013. “How collaboration in therapy becomes therapeutic: the therapeutic collaboration coding
system.” Psychology and Psychotherapy 86(3): 294–314.
Sachse, Rainer. 1999. Lehrbuch der Gesprächspsychotherapie. Göttingen: Hogrefe.
Schauenburg Henning, Jennissen Simona, and Cierpka Manfred (eds.). 2020. Heidelberger Standards zur psychodynamischen Diagnostik nach OPD-2. Heidelberg: Medizinische Fakultät Heidelberg.
Schwitalla, Johannes. 2010. “Von sich selbst oder dem direkten Adressaten in der 3. Person sprechen.” In Perspektiven auf Kommunikation, ed. by Werner Kallmeyer, Ewald Reuter, and Jürgen Schopp, 163–184. Berlin: Saxa.
Selting, Margret, et al.. 2011. “A System for Transcribing Talk-in-Interaction: GAT 2.” Translated by Elisabeth Couper-Kuhlen, and Dagmar
Barth-Weingarten. Gesprächsforschung 12: 1–51. [URL].
Sidnell, Jack, and Tanya Stivers (eds.). 2013. The Handbook of Conversation Analysis. Chichester: Wiley-Blackwell.
Spranz-Fogasy, Thomas. 2020. “Fragen und ihre Funktionen in psychotherapeutischen Gesprächen.” In Institutionelle und organisationale Kommunikation, ed. by Helmut Gruber, Jürgen Spitzmüller, and Rudolf de Cillia, 39–69, Göttingen: Vandenhoeck & Ruprecht.
Spranz-Fogasy, Thomas, Susanne Kabatnik, and Christoph Nikendei. 2018. “Wissenskonstitution durch Lösungsorientierte Fragen in psychodiagnostischen Gesprächen.” In Rhetorik und Medizin, ed. by Ernest W. B. Hess-Lüttich, 111–133. Berlin: de Gruyter.
Spranz-Fogasy, Thomas. 2010. „Verstehensdokumentation
in der medizinischen Kommunikation: Fragen und Antworten im Arzt-Patient-Gespräch.“ In Verstehen in professionellen
Handlungsfeldern, ed. by Arnulf Deppermann, Ulrich Reitemeier, Reinhold Schmitt, and Thomas Spranz-Fogasy, 27-116, Tübingen: Gunter Narr Verlag.
Steensig, Jakob. 2019. “Conversation Analysis and Affiliation and Alignment.” The Encyclopedia of Applied Linguistics: 944–948. .
Vehviläinen, Sanna. 2008. “Identifying and managing resistance in psychoanalytic interaction,” In Conversation Analysis and Psychotherapy, ed. by Anssi Peräkylä, Charles Antaki, Sanna Vehviläinen, and Ivan Leudar, 120–138. Cambridge: Cambridge University Press.
Voutilainen, Liisa, Anssi Peräkylä, and Johanna Ruusuvuori. 2011. “Therapeutic change in interaction: Conversation analysis of a transforming sequence.” Psychotherapy Research 21(3): 348–365.
Wachtel, Paul. 2011. Therapeutic Communication, Second Edition: Knowing What to Say When. New York: Guilford.
Watzlawick, Paul, Janet Beavin, and Don Jackson. 1967. Pragmatics of Human Communication. A Study of Interactional Patterns, Pathologies, and Paradoxes. New York.
Weiste, Elina, and Anssi Peräkylä. 2013. “A comparative conversation analytic study of formulations in psychoanalysis and cognitive
psychotherapy.” Research on Language and Social Interaction 46(4): 299–321.
Weiste, Elina, and Anssi Peräkylä. 2015. “Therapeutic Discourse.” In The International Encyclopedia of Language and Social Interaction, ed. by Karen Tracy, 1–10. Oxford: Wiley-Blackwell.
Cited by (1)
Cited by one other publication
Kabatnik, Susanne
2024.
“Because he was disgusting”: transforming relations through positioning in messenger-supported group psychotherapy.
Frontiers in Psychology 14
This list is based on CrossRef data as of 5 july 2024. Please note that it may not be complete. Sources presented here have been supplied by the respective publishers.
Any errors therein should be reported to them.